Organization
ABUELAS RETIREMENT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO GONZALEZ CASTRO (PRESIDENT)
(786) 399-1239
Entity
Organization
Contact information
Practice address
4257 SW 154TH CT, MIAMI, FL 33185
(786) 399-1239
(786) 453-2232
Mailing address
4257 SW 154TH CT, MIAMI, FL 33185-4259
(786) 399-1239
(786) 453-2232
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9821
FL
Other
Enumeration date
07/24/2018
Last updated
07/30/2018
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